Individual provider · Type 1 NPI

Gary S. Mizono, MD

Otolaryngology Physician · San Rafael, CA

NPI number 1174607147 Active

Practice location

99 Montecillo Rd
San Rafael, CA 94903-3308

Mailing address

1800 Harrison St Fl 7
Oakland, CA 94612-3429

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XG42222 (CA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1174607147

Gary S. Mizono, MD's National Provider Identifier is 1174607147, issued on Oct 25, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.